Theodore R Bosch, MD in Mount Vernon, WA - Medicare General Surgery

Theodore R Bosch, MD is a medicare enrolled "Surgery" physician in Mount Vernon, Washington. He went to University Of Washington School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Pro Health One Inc, Pro Health One Inc, Public Hospital Dist No 1 Skagit, Pro Health One Inc and his current practice location is 208 S 14th St, Mount Vernon, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 814-2600.

Theodore R Bosch is licensed to practice in Washington (license number MD61652294) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912032962.

Contact Information

	Theodore R Bosch, MD
	208 S 14th St, Mount Vernon, WA 98274-4117
	(360) 814-2600
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore R Bosch
Gender	Male
Speciality	General Surgery
Experience	27 Years
Location	208 S 14th St, Mount Vernon, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theodore R Bosch attended and graduated from University Of Washington School Of Medicine in 1999

NPI Data:

NPI Number: 1912032962
Provider Enumeration Date: 02/22/2007
Last Update Date: 05/21/2026

Medicare PECOS Information:

PECOS PAC ID: 1052382579
Enrollment ID: I20250129001867

Medical Identifiers

Medical identifiers for Theodore R Bosch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912032962	NPI	-	NPPES
00A753330	Other	CA	BLUE SHIELD
00A753330	Other	CA	BLUE CROSS
00A753330	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A75333 (California)	Secondary
208600000X	Surgery	MD61652294 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Skagit Valley Hospital	Mount vernon, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pro Health One Inc	2466778089	28
Pro Health One Inc	2466778089	28
Public Hospital Dist No 1 Skagit	6800793522	320
Pro Health One Inc	2466778089	28

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theodore R Bosch allows following entities to bill medicare on his behalf.

Entity Name	Pro Health One Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20220222000119

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore R Bosch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore R Bosch, MD 1415 E Kincaid St, Mount Vernon, WA 98274-4126 Ph: (360) 428-2500	Theodore R Bosch, MD 208 S 14th St, Mount Vernon, WA 98274-4117 Ph: (360) 814-2600

Reviews and Comments

Surgery Doctors in Mount Vernon, WA

Patricia A Franklin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485
Allison J. Porter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E. Kincade Street, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470
Mark L. Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E. Kincaid St., Skagit Regional Clinics, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470
Dr. Steven S Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E. Kincaid St., Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470
Mr. Edward G Prevatt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470
Jivatesh Singh Tung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586 Fax: 360-428-6470
Dr. Karen S Woo, D.O., FACOS, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2586

Theodore R Bosch, MD - Medicare General Surgery in Mount Vernon, WA